MMO Trifold Brochure DRAFT 03

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Evidence Based Answers... Independent Medical Examinations Medical File Reviews Treatment Audits Billing & Coding Reviews www.medicalmanagementonline.com (888) 224-6116 1412 NE 134th Street, Suite 150 Vancouver, WA 98685 phone: (888) 224-6116, fax: (360) 546-2152 e-mail: [email protected] www.medicalmanagementonline.com In my opinion, MMO has been one of the few vendors that not only exhibits professionalism, efficiency, and consistent communication, but also does this on a routine basis which ensures an easy IME process for both me as a PIP adjuster and my insureds. - Insurance Claims Adjuster Contact Us WHO WE ARE Medical Management Online (MMO) has served the in- surance and legal community since 1995 and become a successful, unique provider of medical investigative and consulting services. The opinions rendered are supported by the facts of the case as well as the body of knowledge within the medical and billing community. OUR MISSION Our goal is to exceed our customer's expectations with the use of our extensive practitioner network, courteous and knowledgeable staff, and proprietary website. OUR WEBSITE MMO employs a cloud-based referral management system that allows claim representatives to view all MMO activ- ity on their claim and make comments and inquiries that are immediately received and acknowledged. All activity, including every phone call, letter, appointment or action is chronicled, as it happens, on the case information screen.

Transcript of MMO Trifold Brochure DRAFT 03

Page 1: MMO Trifold Brochure DRAFT 03

EvidenceBasedAnswers... • Independent Medical Examinations • Medical File Reviews • Treatment Audits • Billing & Coding Reviews

www.medicalmanagementonline.com(888) 224-6116

1412 NE 134th Street, Suite 150

Vancouver, WA 98685

phone: (888) 224-6116, fax: (360) 546-2152

e-mail: [email protected]

www.medicalmanagementonline.com

In my opinion, MMO has been one of the few

vendors that not only exhibits professionalism,

efficiency, and consistent communication, but also does

this on a routine basis which ensures an easy IME process for both me as a PIP adjuster

and my insureds.

- Insurance Claims Adjuster

Contact Us

WHO WE ARE

Medical Management Online (MMO) has served the in-surance and legal community since 1995 and become a successful, unique provider of medical investigative and consulting services. The opinions rendered are supported by the facts of the case as well as the body of knowledge within the medical and billing community.

OUR MISSION

Our goal is to exceed our customer's expectations with the use of our extensive practitioner network, courteous and knowledgeable staff, and proprietary website.

OUR WEBSITE

MMO employs a cloud-based referral management system that allows claim representatives to view all MMO activ-ity on their claim and make comments and inquiries that are immediately received and acknowledged. All activity, including every phone call, letter, appointment or action is chronicled, as it happens, on the case information screen.

Page 2: MMO Trifold Brochure DRAFT 03

WHAT MAKES US DIFFERENTMedical Management Online strikes a balance that makes it an ideal fit for most doctors, insur-ance companies and attorneys. It is large enough to handle a high volume of cases, yet small enough to adapt to your processes and provide superb customer service. Here are several reasons why MMO is becoming a top choice for medical investigative and consulting services:

Our rates are very affordable, but that’s not the only way you save with MMO. Our speed, commu-nication, and wide geographic availability saves time and travel costs. Hurdles and delays can be expensive—we help your system run smoothly.

With other IME companies, you may wait 2-3 weeks just to get an appointment. MMO completes the entire process in less than half that time. We have the fastest turnaround time in the industry.

In addition to our regional offices throughout the US, we have more than 1,000 partner physicians in all 50 states, Canada, and Puerto Rico. We work with doc-tors of every speciality. Our recruitment process is swift—less than 24 hours—and easy for us to execute, should a doctor in a new location be needed. We can reduce travel issues and costs for the perfect physician to meet your needs.

Our headquarters in Vancouver, Washington, is equipped with exam rooms. Working with physicians under the same roof allows us to move very quickly to han-dle logistics for our doctors in the Portland/SW Wash. area.

We employ a cloud-based, referral management sys- tem that allows you to both request services online and keep a close eye on any case we are handling for you. Ev-ery phone call, letter, appt. and action is documented so you will always know exactly what is happening with your case.

BROAD SCOPE OF SERVICESWith services such as IME's, record reviews, billing and coding reviews, litigation support and blend-ed services, MMO is a "one-stop-shop."

Medical Investigative & Consulting From IME's to Billing and Coding Reviews, We Deliver.

INDEPENDENT MEDICAL EXAMSIMEs are performed by experienced, typically board-certified and actively practicing physi-cians throughout the states of Oregon, Washing-ton, Arizona and Nevada, as well as many other states.

MEDICAL PEER REVIEWSThe medical records are sorted and organized and a chronology is developed by MMO. The physician reviewer is asked to determine the di-agnoses in relation to the accident/injury; to ad-dress issues such as causation; reasonableness, necessity, and relatedness of treatment and di-agnostics; apportionment of treatment. The re-viewers are asked to be specific and to explain the rationale of their conclusions, so our client can defend and understand the report.

BILLING/CODING REVIEWSThe Certified Coding Specialist will evaluate bills and chart notes and submit a report that details the appropriateness of charges and codes. Ex-act dollar reimbursement recommendations are made and explained by the specialist.

TREATMENT AUDITS A Treatment Audit combines a peer review with a billing and coding review. The physician review-er identifies what treatment is reasonable and necessary and related. The MMO billing and cod-ing specialist scrutinizes the allowed treatment for billing and coding discrepancies and devel-ops an exact dollar reimbursement amount.

CASE CHRONOLOGYParticularly useful in large cases, a chronologi-cal summary is done by a specialized medical claims consultant or Registered Nurse. This sum-mary highlights the sequence of claim events, onset and evolution of symptoms, gaps in treat-ment, other injuries, and missing records. The key issues are outlined for the claim representa-tive or attorney to consider.

LITIGATION SUPPORTMedical Management Online takes the guess-work out of scheduling a medical expert for testimony. We facilitate confirmation of the tes-timony date/time between the expert and the attorney. Then a confirmation letter is emailed to both parties with the testimony information. MMO provides cost estimates and late cancel-lation timeframes to our client. Pre-trial or pre-arbitration conferences are expedited and addi-tional medical records can be forwarded to the expert. If the case settles or is rescheduled, this is communicated to the expert immediately.